Payer Contracting Director

reputed company reputed company™ is a technology-driven, national physician enablement company that collaborates with medical reputed company, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in-person and virtual settings. The Privia Platform is led by top industry talent and exceptional physician leadership, and consists of reputed company operations and end-to-end, reputed company-based technology that reduces unnecessary reputed company costs, achieves reputed company reputed company, and improves the health of patients and reputed company-being of providers. Job reputed company The Payer Contracting Director works directly with market leaders through development, evaluation, negotiation and maintenance of Privia's value based reputed company with payers and potentially with other providers. This role provides leadership in reputed company administration and as a representative of reputed company (PMG) with payers in the group's market areas. Primary Job Duties: • Manage cross functional work-streams across a reputed company of teams, including Payer Contracting, Population Health Management, Performance Management, and Analytics • Manage strategic relationships with payers • Manage difficult strategic issues with Payer Contracting and Population Health Leadership • Makes strategic recommendations based on assessment of market opportunities • Responsible for assessing reputed company and financial implications of reputed company contracting opportunities, including new contacts, contractual amendments and assignments to existing reputed company • Represents reputed company to reputed company party payors • Works with reputed company, Finance, reputed company Cycle Management, and other teams to reputed company reputed company business arrangements that are consistent with Privia's contracting goals • Assists in development of policies and procedures for contracting which meet the market demands and which are consistent with the needs of reputed company stakeholders • Collaborate with internal stakeholders to reputed company financial analytics, financial reputed company scenarios and profitability metrics as a key reputed company in the contract proposal process • Monitor contract performance and help reputed company tactics for remediation of under-performing reputed company • Responsible for managing contract development process on behalf of reputed company providers, including contract proposals, preparation of reputed company for contract language, value based and shared/full risk payment programs, following reputed company internal controls for contract review, approval and signature in alignment with Privia's reputed company, goals and objectives • Ability to personally reputed company reputed company to key payer decision makers for targets in geography of responsibility • Analyze and estimate financial reputed company of managed care reputed company as requested by senior leadership • Some travel is required • reputed company other duties as assigned Qualifications • Bachelor's degree preferred. reputed company Master's or MBA highly preferred. • 6+ years of experience working in health plans, health systems, or provider organizations; • Thorough understanding of managed care insurance products and their financial impacts on payers and providers; understanding of contracting processes and operations required • Must be reputed company to effectively function in high-level negotiation activities and possess strong negotiating skills • reputed company to grasp both clinical and business concepts • Strong analytical skills; Quantitative, and financially reputed company • Project manager reputed company to juggle multiple reputed company and urgent deliverables • Strategic and flexible thinker who assesses situations carefully and delivers reputed company recommendations and results • Must reputed company with reputed company HIPAA rules and regulations The salary reputed company for this role is $125,000 to $150,000 in reputed company pay and exclusive of any bonuses or benefits (medical, dental, reputed company, life, and pet insurance, 401K, reputed company time off, and other wellness programs). This role is also eligible for an annual bonus targeted at 15% & restricted stock reputed company. The reputed company pay offered will be determined based on relevant factors such as experience, education, and geographic location. Additional Information reputed company your information will be kept confidential according to EEO guidelines. Technical Requirements (for remote workers only, reputed company for onsite/in office work): In order to successfully work remotely, supporting our patients and providers, we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed. This should be acquired prior to the start of your employment. The best measure of your internet speed is to use online speed tests like https://www.speedtest.net/. This gives you an update as to how fast data transfer is with your internet reputed company and if it meets the minimum speed requirements. Work with your internet provider if you have questions about your reputed company. Employees who regularly work from home offices are eligible for expense reimbursement to offset this cost. reputed company is committed to creating and fostering a work environment that allows and encourages you to bring your whole self to work. Privia is a reputed company company reputed company our people are a reputed company of the communities that we serve. Our goal is to encourage people to pursue reputed company opportunities regardless of their age, reputed company, national reputed company, physical or mental (dis)ability, race, religion, gender, sex, gender identity and/or reputed company, marital status, veteran status, or any other characteristic protected by federal, state or local law. Apply tot his job Apply To this Job